Active NPI
Louis M Dimauro, MD
- Pediatrics Physician
- Cheshire, CT
National Provider Identifier
1184689606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 017182
- Practice address
- 435 Highland Ave., #110
Cheshire, CT 06410 - Phone
- (203) 272-0396
- Fax
- (203) 272-0052
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 017182 | CT | Primary |
Addresses
Primary practice location
435 Highland Ave., #110
Cheshire, CT 06410
Mailing address
435 Highland Ave., #110
Cheshire, CT 06410
Phone (203) 272-0396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001171826 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017182 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Cheshire PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Cheshire, CT
- NPI 1477510675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1184689606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 HIGHLAND AVE., #110",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "06410",
"telephone_number": "203-272-0396",
"fax_number": "203-272-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 HIGHLAND AVE., #110",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "06410",
"telephone_number": "203-272-0396",
"fax_number": "203-272-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMAURO",
"first_name": "LOUIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "017182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001171826",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.